Provider Demographics
NPI:1053181511
Name:P&P COUNSELING SERVICES QUITMAN BRANCH
Entity type:Organization
Organization Name:P&P COUNSELING SERVICES QUITMAN BRANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, NCC, BC-TMH
Authorized Official - Phone:601-479-7042
Mailing Address - Street 1:84 COUNTY ROAD 158
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-9444
Mailing Address - Country:US
Mailing Address - Phone:601-479-7042
Mailing Address - Fax:
Practice Address - Street 1:84 COUNTY ROAD 158
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-9444
Practice Address - Country:US
Practice Address - Phone:601-479-7042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health